关键词: COPD exacerbation farmers psychological distress

来  源:   DOI:10.1177/21650799241267828

Abstract:
UNASSIGNED: Farmers with chronic obstructive pulmonary disease (COPD) often face both respiratory issues and psychological distress, which can exacerbate their condition. However, no prior research has examined how the frequency of respiratory symptoms is associated to psychological distress in these individuals. Therefore, this study aimed to explore this relationship among U.S. farmers living with COPD.
UNASSIGNED: A cross-sectional study involved 101 participants, a mix of on-site and online recruits, assessing respiratory symptoms and psychological distress in farmers with COPD. The study employed standard self-reported measures and utilized both simple and multiple linear regression to analyze the association between respiratory symptoms and psychological distress.
UNASSIGNED: Participants reported notably higher levels of respiratory symptoms (61.6 [SD = 13.3]) compared to the reference score of 12, along with elevated psychological distress (25.9 [SD = 10.6]). Factors like COPD duration, income, smoking, and emergency department (ED) visits correlated with respiratory symptoms, while age, COPD duration, income, smoking, pesticide exposure, and farm type were associated to psychological distress. Notably, even after accounting for age, smoking, and pesticide exposure, a significant association remained between respiratory symptoms and psychological distress (β = 0.46, p < .001).
UNASSIGNED: Respiratory symptoms were significantly associated to psychological distress, even when considering other factors. While this aligns with existing research, a future longitudinal study is crucial to establish the cause-effect relationship between these variables. Understanding this relationship could inform the development of targeted interventions to alleviate psychological distress in individuals with respiratory symptoms.
UNASSIGNED: The correlation between COPD symptoms and psychological distress in farmers emphasizes the need for integrated nursing care. Occupational health nurses should prioritize combined respiratory and mental health assessments.
摘要:
患有慢性阻塞性肺疾病(COPD)的农民经常面临呼吸系统问题和心理困扰,这会加剧他们的病情。然而,先前没有研究研究这些人的呼吸道症状频率如何与心理困扰相关。因此,本研究旨在探讨美国COPD农民之间的这种关系.
一项横断面研究涉及101名参与者,现场和在线招募的混合,评估COPD农民的呼吸道症状和心理困扰。该研究采用了标准的自我报告措施,并使用了简单和多元线性回归来分析呼吸道症状与心理困扰之间的关联。
参与者报告的呼吸道症状水平明显高于12分的参考评分(61.6[SD=13.3]),同时心理困扰升高(25.9[SD=10.6])。COPD持续时间等因素,收入,吸烟,急诊科(ED)就诊与呼吸道症状相关,而年龄,COPD持续时间,收入,吸烟,农药暴露,和农场类型与心理困扰有关。值得注意的是,即使考虑到年龄,吸烟,和农药暴露,呼吸道症状和心理困扰之间仍然存在显著关联(β=0.46,p<.001).
呼吸道症状与心理困扰显着相关,即使考虑其他因素。虽然这与现有研究一致,未来的纵向研究对于建立这些变量之间的因果关系至关重要。了解这种关系可以为有针对性的干预措施的发展提供信息,以减轻有呼吸道症状的个体的心理困扰。
农民的COPD症状与心理困扰之间的相关性强调了综合护理的必要性。职业健康护士应优先考虑呼吸和心理健康综合评估。
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